Appendix 1: C.diff elements with the Trust s HCAI recovery Plan and Risk to Delivery
|
|
- Betty Martin
- 6 years ago
- Views:
Transcription
1 Appendix 1: C.diff elements with the Trust s HCAI recovery Plan and Risk to Delivery Issue Action Risk to Year-end trajectory for C difficile infections is 29 cases. Week commencing Performance year to date is 22 (counted) cases. There must be no more than 2 cases per month until Key factors to be addressed: 1. Inappropriate stool sampling 2. Failure to isolate patients with diarrhoea promptly. 3. Communication between wards is not consistent. 4. Cleaning of the environment and equipment needs to be improved. 5. Breaches in antibiotic stewardship. 6. Maintain Stool samples must be authorised by the nurse in charge/shift coordinator before they are sent to the laboratory. All patients with suspected potentially infectious diarrhoea must be isolated within 2 hours. Daily stool sampling records collected by. Monitor and report compliance with stool sampling documentation on weekly C diff performance report. 1. Patients with diarrhoea must be isolated in a single side room with a self-contained toilet or commode. This is included in mandatory and induction training. A-Z isolation priorities to be sent to all wards. 2. The patient must remain isolated until there have been no symptoms for a least 48 hours and a formed stool has been passed. 3. All delays in isolation to and action on-going with ongoing actions On-going Ward sisters/matrons/ Stool sampling authorisation records. Records collected daily from wards and crossreferenced with laboratory records. Senior IPCN Weekly reports Weekly report sheet sent out to senior nurses. Non-compliance must be followed up by matrons Ward sisters/matrons Ward sisters/matrons All staff records records Datix reports A-Z isolation priorities sent to ward sisters and matrons. will monitor patients who are isolated during the daily ward visits. Incidents are Agenda Item: 8C Page 1 of 10
2 compliance with hand hygiene in all clinical areas. be logged as patient safety risks daily in the site office and reported on DATIX if not achieved in 2 hours. action IPCC minutes monitored through the IPCC Monitor usage of side rooms daily. Improve the quality of infection risk information during patient transfer between wards by using the SBAR form. Red 1. Daily ward IPCN visits to identify patients requiring isolation. 2. Patient safety briefings to cover isolation room use. to attend safety briefings ad hoc to ensure that infection risks are covered. 3. Document daily side room usage of spread sheet managed by Site Team. 1. SBAR form to be used for all patient transfers within the Trust. 2. Audit use of the form for communicating infection risks quarterly. On-going action and ongoing Wards sisters/ Weekdays Weekends/BH Site Team Ward sisters Daily reports Side room tool on Admissions shared drive SBAR form in patient s record. Audit report SBAR form is only used by MAU currently and quality of information is variable. November 2013 audit results = 13% compliance. Discussion to be held at Senior Nurse meeting in February 2014 Agenda Item: 8C Page 2 of 10
3 All equipment used for patient care must be decontaminated appropriately between use. 1. All commodes must be cleaned between use, dated and labelled as clean. 2. If commodes are not used and are stored in a dirty utility room they must be cleaned at least once every 24 hours. 3. Commode cleanliness will be spot-checked daily and if they are found to be soiled this must be escalated via the appropriate route. 4. Commode cleanliness will also be checked weekly and reported to the. 5. All other patient equipment must be cleaned between patients, labelled and stored in a clean area when not in use. Monthly audits to be carried out using Saving Lives High Impact Intervention No 8 tool. 6. Trust wide audit of patient equipment cleanliness will be completed every six Ward sisters Ward sisters /Matrons Ward sisters Wards sisters Commode audit results Audit reports Audit report How to dismantle and clean a commode poster disseminated to all wards November November 2013 commode cleanliness audit achieved, 81%. This was an improvement on September s audit results of 68% Compliance will be monitored through IPCC July 2013 audit equipment 90% clean -22% labelled. Agenda Item: 8C Page 3 of 10
4 months. Re-audit commenced January 2014 Standards of environmental cleanliness must be improved so that all clinical areas meet agreed audit score levels. Very high risk areas = 98% High risk areas = 95% Significant risk areas = 85% 1. Deep clean within 4 hours to be introduced as a standard 2. C diff side rooms to be cleaned thoroughly with Actichlor Plus at least once a day. 3. Toilets to be cleaned three times a day and ongoing and ongoing and ongoing Weekly C diff performance report Record sheets Weekly C diff performance report C diff side rooms cleaned daily including weekends 4. Revisit use of Hydrogen peroxide for cleaning of C diff side rooms DIPC/Senior IPCN Use of Hydrogen peroxide has been explored previously however Estates expressed concerns regarding safety due to permeability of ceiling tiles. Agenda Item: 8C Page 4 of 10
5 1. Daily ward visits to include review of cleaning staff levels 2. Deep clean programme Recruit to vacant supervisors post so that there is appropriate supervision of cleaning staff across the Trust. and ongoing Daily records and weekly C diff performance report Cleaning establishment Plan for deep clean programme in 2014 is being prepared Cleaning action plan in place to support HCAI recovery plan 2. Completion of monthly audit programme to be 100% compliant. Training and Auditing Weekly report Progress reported to the Trust s IP&C Committee 3. Enhance cleaning hours from midnight to 6am through recruitment to posts covering these hours. 4. Provide an advice sheet for cleaners 5. Cleaning staff employed as damp dusters must be supervised by the designated cleaning supervisor., needs annual review manager Cleaning rotas Daily observation and testing of staff knowledge Agenda Item: 8C Page 5 of 10
6 Improve antibiotic stewardship and leadership C diff toxin positive and GDH positive patients to be reviewed by Microbiology team at time of positive sample and then weekly Introduce more antibiotic stewardship ward rounds, with ward s where possible. Target high risk elderly care and admission areas initially. Review medical microbiology input to clinical areas to support heightened clinical leadership visibility and support to medical staff. Microbiologists will continue to visit clinical areas daily as required. with ongoing action for MAU. Midford Pharmacist/ Microbiologists Pharmacist/ward s/ Microbiologists Pharmacist/ Microbiologists Documentation in medical notes of microbiology input on C diff positive patients. List of patients for review kept on Microbiology shared drive. Microbiology weekly/daily patient review list Weekly MAU ward rounds in place. Aiming to commence weekly ward round on Midford. Increase referrals for microbiologist review by implementation of IT based referral system Lian Herrin (IT) and Pharmacist IT system functional but referral process to be refined. Agenda Item: 8C Page 6 of 10
7 Review the use of Empirical Treatment of Infections Guidelines Antibiotic Prescribing Policy to be re-written with an emphasis on start smart then focus when prescribing antibiotics Pharmacist/ Microbiologists Pharmacist/ Microbiologists New guidelines published. Policy on intranet Updated guidelines on intranet Summary version distributed to wards and junior doctors. Project with IT for empirical guidelines to be available on intranet as a web based click through Pharmacist and Louette Eagles (IT) Guidelines on intranet Awaiting IT to complete project. ASPIRE campaign to highlight good practice when prescribing antimicrobials Campaign materials on intranet Carry out Monthly Antibiotic Prescribing Indicators. Results reported by ward and for surgical wards, further broken down by consultant., on-going monthly feedback Reports Reports sent monthly to clinical leads Agenda Item: 8C Page 7 of 10
8 Share results of monthly Antibiotic Prescribing Indicators with clinical leads. Pharmacist/ Medical and Surgical division chairs Reports As above Display results of monthly Antibiotic Prescribing Indicators on individual wards. Review of Antibiotics received by all C diff positive patients. Were all antibiotics appropriate? Is co-amoxiclav a likely causative antibiotic? Share any lessons learnt / Ward sisters BIU input required. Results to be included in ward dashboards when available. Antibiotic specific section within Trust drug chart. More emphasis on review / stop dates. To reinstate antibiotic prescribing on F1/F2 training / Microbiologists/ Senior IPCN Revised drug chart Drug chart designed. With printers Update on antibiotic stewardship at F1 teaching F2 teaching MNPs Agenda Item: 8C Page 8 of 10
9 Application for Fidaxomicin to be included in Formulary Formulary Update guidelines for treatment of C difficile Antibiotic review notices to go onto medicines charts to prompt reviews of antibiotics (used by s/nurses) Explore possibility of using Microguide app for antibiotic guidelines RID campaign piece for to be written. /all s Guideline published on intranet Distributed to s Need to explore costs and resources for implementation Hand hygiene promotion to be enhanced so that materials are available in all public and clinical areas. Cost new materials to promote better hand hygiene Print new materials and display in a coordinated manner New Infection Matters campaign to be launched. The campaign will include hand hygiene, cleaning/de-cluttering, stool rules, ASPIRE antibiotic prescribing and overall C diff and MRSA reduction. IPC Nurse Communications Team Interim Head of Comms/DIPC/ Assistant DIPC/ Senior IPCN Communication materials Campaign materials Posters displayed throughout Agenda Item: 8C Page 9 of 10
10 Include bare below the elbows in hand hygiene campaign. Escalate to appropriate manager if staff are noncompliant following reminders. Matrons to continue local hand hygiene training with Glo boxes. /ADNs/ Matrons/Senior Sisters Included in Core Skills updates for medical staff. Glossary of Terms: IPC Infection Prevention and Control Infection Prevention and Control Team IPCN Infection Prevention and Control Nurse ICD Infection Control Doctor DIPC Director of Infection Prevention and Control MAU Medical Assessment Unit SAU Surgical Assessment Unit ANTT Aseptic Non Touch Technique IPCC Infection Prevention and Control Committee Agenda Item: 8C Page 10 of 10
West Hertfordshire Hospitals NHS Trust Reducing Clostridium difficile infection Action Plan [Updated 19/3/13] Item 37/13
Introduction purpose: West Hertfordshire Hospitals NHS Trust Reducing Clostridium difficile infection Action Plan 2012-2013 [Updated 19/3/13] Item 37/13 This action plan has been developed by West Hertfordshire
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 22 FEBRUARY 2012
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS C 22 FEBRUARY 2012 Subject: Supporting : Author: Status (see footnote): Update on the Clostridium difficile (C.diff)
More informationCLOSTRIDIUM DIFFICILE ACTION PLAN
CLOSTRIDIUM DIFFICILE ACTION PLAN Action plan to address the rise in cases of Clostridium difficile (C.diff) at Sheffield Teaching Hospitals NHS Foundation Trust ACTION KEY MILESTONES PERSON RESPONSIBLE
More informationRevised East Kent Hospitals University NHS Foundation Trust C. difficile Recovery / Action Plan April 2014
Background Revised East Kent Hospitals University NHS Foundation Trust C. difficile Recovery / Action Plan April 2014 The C.difficile objective for EKHUFT in 2013 2014 was 29 cases and in April 2013, the
More informationabc INFECTION CONTROL STRATEGY
abc INFECTION CONTROL STRATEGY 1. INTRODUCTION East and North Hertfordshire NHS Trust (ENHT) considers the reduction of Healthcare Associated infections (HCAI) a key component of patient safety systems
More informationThis paper provides detail of actions to reduce the incidence of Clostridium difficile at Airedale NHS Foundation Trust (ANHST).
Airedale NHS Foundation Trust Board of Directors: 27 February 2013 Title: Update on Actions to Reduce the Incidence of Clostridium difficile at Airedale NHS Foundation Trust Author: Allison Charlesworth,
More informationThe safety of every patient we care for is our number one priority
HUMBER NHS FOUNDATION TRUST INFECTION PREVENTION AND CONTROL STRATEGY 2015-2017 1. Introduction Healthcare associated infections (HCAI) continue to be a major cause of patient harm and although nationally
More informationGuideline for the Management of Patients with Known or Suspected Diarrhoea / Viral Gastroenteritis
Guideline for the Management of Patients with Known or Suspected Diarrhoea / Viral Gastroenteritis 1. Introduction 1.1 Patients with diarrhoea pose a risk to other patients from micro-organisms contaminating
More informationInfection Prevention and Control Strategy (NHSCT/11/379)
Infection Prevention and Control Strategy (NHSCT/11/379) September 2010 September 2010 Contents Page No. 1. Foreword 1 2. Introduction 2-3 3. Key Principles 4-5 4. Objectives 6-13 5. Organisational Arrangements
More informationSHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 21 MARCH 2012
C SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY: BOARD OF DIRECTORS 21 MARCH 2012 Subject: C.difficile Action Plan 2012/2013 Supporting Director: Professor Hilary Chapman, Chief Nurse/Chief
More informationWRIGHTINGTON, WIGAN AND LEIGH HEALTH SERVICES NHS TRUST DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT
WRIGHTINGTON, WIGAN AND LEIGH HEALTH SERVICES NHS TRUST DIRECTOR OF INFECTION PREVENTION AND CONTROL ANNUAL REPORT 2006-2007 Author(s) Gill Harris, Director of Infection Prevention and Control EXECUTIVE
More informationClostridium difficile Infection (CDI) Trigger Tool
Hospital ward/clinical Area Date Trigger Tool Commenced Date Trigger Tool Closed Person closing the CDI Trigger Health Protection Scotland V2.0 November 2011 A CDI Trigger is the point at which the Infection
More informationHCAI Local implementation team action plan
HCAI Local implementation team action plan Item Type Report Authors New Governance HCAI Group Publisher New Governance HCAI Group Download date 16/09/2018 18:12:09 Link to Item http://hdl.handle.net/10147/110814
More informationClostridium difficile Infection (CDI) Trigger Tool
Hospital ward/clinical Area Date Trigger Tool Commenced Date Trigger Tool Closed Person closing the CDI Trigger Health Protection Scotland March 2014 Version 3.0 A CDI trigger is the number of new CDI
More informationPortiuncula Hospital Ballinasloe Hygiene Services Quality Improvement Plan September 2013
Portiuncula Hospital Ballinasloe Hygiene Services Quality Improvement Plan September 2013 This Quality Improvement Plan (QIP) was developed following the HIQA unannounced monitoring assessment in Portiuncula
More informationHEI self-assessment. Completing the self-assessment - Guidance to NHS boards
HEI self-assessment Completing the self-assessment - Guidance to NHS boards INTRODUCTION This document should be read in conjunction Healthcare Improvement Scotland healthcare associated infection (HAI)
More informationInfection Prevention & Control Annual Report 2011/2012
Infection Prevention & Control Annual Report 2011/2012 Board of Directors Approval date: 1 November 2012 Infection Prevention & Control Committee Submission date: 1 August 2012 Position at 31 March 2012
More informationNHS Highland Infection Prevention & Control Annual Work Plan End of Year
NHS Highland Board 5 April Item 5.7 NHS Highland & Control Annual Work Plan End of Year Update for COIC Prepared by Catherine Stokoe and Jonty Mills (as of 01/03/) Objective Activity Time Scale Lead Officer
More informationInfection Prevention and Control. Quarterly Report
Infection Prevention and Control Quarterly Report 1 st July 2009 30 th September 2009 Dr Nick Harper Director of Infection Prevention and Control Mrs Johanne Lickiss Nurse Consultant Infection Prevention
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST HEALTHCARE ASSOCIATED INFECTIONS (HCAI)
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST HEALTHCARE ASSOCIATED INFECTIONS (HCAI) Agenda item A4(i) EXECUTIVE SUMMARY The paper highlights the increasingly challenging HCAI targets for the
More informationInfection Prevention and Control Annual Report 2012/13
Infection Prevention and Control Annual Report 2012/13 Infection Prevention and Control Annual Report 2012/13 1 Contents 1. Executive Overview 2. Key Achievements 3. Infection Prevention and Control Team
More informationOutbreak Management Policy
Policy No: IC24 Version: 5.0 Name of Policy: Outbreak Management Policy Effective From: 13/09/2012 Date Ratified 27/07/2012 Ratified Infection Prevention & Control Committee Review Date 01/07/2014 Sponsor
More informationCoG (04/17) Item 19. Council of Governors. Item for Information. C difficile Action Plan. To note the report. DATE 11 April 2017 REPORT FOR SUBJECT
CoG (04/17) Item 19 DATE 11 April 2017 REPORT FOR Council of Governors SUBJECT Item for Information TITLE C difficile Action Plan BACKGROUND DOCUMENT (IF ANY) EXECUTIVE COMMENT (INCLUDING KEY ISSUES OF
More informationInfection Prevention and Control Annual Report Produced by: The Director of Infection Prevention and Control
Infection Prevention and Control Annual Report 2009 Produced by: The Director of Infection Prevention and Control Reviewing the period: January 2009 - December 2009 Approved by Infection Control Committee:
More informationINFECTION PREVENTION & CONTROL. ANNUAL REPORT Northern Devon Healthcare NHS Trust
INFECTION PREVENTION & CONTROL ANNUAL REPORT 2013-14 Northern Devon Healthcare NHS Trust incorporating community services in Exeter, East and Mid Devon 1 Kevin Marsh David Richards Joint Directors of Infection
More informationNorthern Health and Social Care Trust
Ref: TB28/58/12 Appendix D Northern Health Social Care Trust Subject: overnance Content: Board Assurance Framework Trust Board is responsible for ensuring it has effective systems in place for governance,
More informationChecklists for Preventing and Controlling
Checklists for Preventing and Controlling Clostridium difficile Infection (CDI) This document has been developed to specifically assist senior management and all ward staff to take appropriate actions,
More informationArrangements. Version 10
UNIQUE IDENTIFIER NO: C-64-2014 Nurse Section A - Arrangements Version 10 Important: This document can only be considered valid when viewed on the Trust s Intranet. If this document has been printed or
More informationPATIENTS WITH DIARRHOEA
PATIENTS WITH DIARRHOEA Infection Prevention and Control Policy: Document Author Written By: Infection Prevention & Control Team Date: September 2015 Lead Director: Executive Directorate of Nursing Authorised
More informationCleaning policy. Document author Assured by Review cycle. 1. Introduction Purpose or aim Scope Definitions...
Cleaning policy Board library reference Document author Assured by Review cycle P005 Head of Estates and Facilities Quality and Standards Committee 3 years This document is version controlled. The master
More informationHand Hygiene Policy. Documentation Control
Documentation Control Reference CL/CGP/039 Approving Body Trust Board Date Approved 3 Implementation date 3 Supersedes NUH Version 2 (May 2009) Consultation undertaken Infection Prevention and Control
More informationInspecting Informing Improving. Hygiene code inspection report: West Hertfordshire Hospitals NHS Trust
Inspecting Informing Improving Hygiene code inspection report: West Hertfordshire Hospitals NHS Trust December 2008 Outcome of inspection for: Hospital(s) visited: West Hertfordshire Hospitals NHS Trust
More informationNorth East Ambulance Service NHS Trust Infection Prevention and Control Annual Work Plan April 2009 March 2010 October review (2)
North East Ambulance Service NHS Trust Infection Prevention and Control Annual Work Plan April 2009 March 2010 October review (2) No. Objective Actions Lead Date of 1 Leadership throughout Accountability
More informationREPORT SUMMARY SHEET
Quality care for you, with you REPORT SUMMARY SHEET Meeting: Date: Title: Lead Director: Corporate Objective: Purpose: High level context: Trust Board 29 th September 2016 Infection Prevention and Control
More informationThe prevention, management and control of Healthcare Associated Infections (HCAI) in hospitals (ROCR-LITE/08/014/FT6)
NATIONAL AUDIT OFFICE STUDY The prevention, management and control of Healthcare Associated Infections (HCAI) in hospitals (ROCR-LITE/08/014/FT6) National Audit Office study The prevention, management
More informationDirector of Infection Prevention and Control Annual Report 01 April March 2013
Director of Infection Prevention and Control Annual Report 01 April 2012 31 March 2013 Agenda Item: Reference: Meeting Name: Board Meeting Meeting Date: 3 rd June 2013 Lead Director: Lisa Cooper Job Title:
More informationTHE HYGIENE CODE : ACUTE TRUST AND COMMUNITY HEALTH DIVISION
THE HYGIENE CODE : ACUTE TRUST AND COMMUNITY HEALTH DIVISION Compliance 1) Systems to manage and monitor the prevention and control of infection. These systems use risk assessments and consider how susceptible
More informationProtocol for the Prevention and Management of Clostridium difficile.
Protocol for the Prevention and Management of Clostridium difficile. Policy Profile Policy Reference: Clinical care protocol 14. App D Clin 2.0 Version: Version 2.1 Author: Selma Mehdi, Lead Nurse Infection
More informationRoot Cause Analysis Investigation Report. Clostridium Difficile Ian Monro Ward. The Royal National Orthopaedic Hospital
Root Cause Analysis Investigation Report Clostridium Difficile Ian Monro Ward The Royal National Orthopaedic Hospital CONTENTS Incident description and consequences Pre-investigation risk assessment Background
More informationInfection Prevention. & Control. Report
Infection Prevention & Control Report April 2012 March 2013 Author Joanne Raper, Infection Prevention & Control Nurse Manager Page 1 of 10 1.0 Purpose of the Paper The purpose of this report is to provide
More informationTRUST BOARD. Date of Meeting: 05/10/2010
TRUST BOARD Date of Meeting: 05//20 Enclosure: 7 Agenda Item No: 8.3 Title of Report: Interim Report for Infection Prevention and Control 20-2011 Aims: To inform the Board of the work of the Trust in controlling
More informationDirector of Infection Prevention and Control (DIPC) Annual Report. April 2011 to March 2012
Director of Infection Prevention and Control (DIPC) Annual Report April 2011 to March 2012 The third DIPC annual report for Dudley and Walsall Mental Health NHS Partnership Trust AUTHORS: Alison Geeson
More informationHospital Outbreak Management Policy
Hospital Outbreak Management Policy Version Number 3 Version Date June 2016 Owner Author First approval or date last reviewed Staff/Groups Consulted Director of Infection Prevention and Control Nurse Consultant
More informationEstablishing an infection control accreditation programme to control infection
International Journal of Infection Control www.ijic.info ISSN 1996-9783 Establishing an infection control accreditation programme to control infection Julie Parker Sheffield Teaching Hospitals NHS Foundation
More informationCOMPLETION DATE 2.1 Governance Improve medical attendance at IPPC meeting records Clinical Directors Q
University Hospital Waterford (UHW) Quality improvement Plan - HIQA PCHAI Unannounced Monitoring Inspection on 5.9.2017 (Report Published 4 th December 2017) QIP dated 31 st Recommendations Section 2 2.1
More informationStaffordshire and Stoke on Trent Partnership Trust Infection Prevention and Control team. Director of Infection Prevention and Control Annual Report
Staffordshire and Stoke on Trent Partnership Trust Infection Prevention and Control team Director of Infection Prevention and Control Annual Report April 215 to March 216 1 Executive Summary The Health
More informationTrust Policy for the Prevention and Control of Infection
Trust Policy for the Prevention and Control of Infection Approved by Version Issue Date Review Date Contact Person IPCC October 2015 3 October 2015 October 2018 Paul Bolton Page 1 of 25 1. Title of document/service
More informationTHE HYGIENE CODE : ACUTE TRUST AND COMMUNITY HEALTH DIVISION
THE HYGIENE CODE : ACUTE TRUST AND COMMUNITY HEALTH DIVISION Compliance 1) Systems to manage and monitor the prevention and control of infection. These systems use risk assessments and consider how susceptible
More informationInfection Prevention and Control Policy
Infection Prevention and Control Policy March 2012 Ref: PCD053 (v5) Status: Infection Prevention and Control Policy Policy Reference Number IC017 Status Version 5 Implementation Date September 2007 Current/Last
More informationOPERATIONAL POLICY INFECTION PREVENTION AND CONTROL POLICY NO.1
OPERATIONAL POLICY INFECTION PREVENTION AND CONTROL POLICY NO.1 Applies to: All employees of Wirral Community NHS Trust Group for Approval Infection Prevention and Control Group Date of Approval 25 January
More informationInfection Prevention and Control (IPC) Annual Programme 20010/11
Infection Prevention and Control (IPC) Annual Programme 20010/11 1. Introduction The Code of Practice for the Prevention and Control of Healthcare Associated Infections (DH, 2009) otherwise known as the
More informationPrevention and control of healthcare-associated infections
Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process
More informationInfection Control. Annual Report 2014 / 15
Infection Control Annual Report 2014 / 15 July 2015 Report 1. Introduction and Background 1.1 The Trust supports the principle that healthcare acquired infections should be prevented wherever possible
More informationQuality and Safety Committee. Prevention and Control of Healthcare Acquired Infections performance to February 2012
Betsi Cadwaladr University Health Board Committee Paper 05.04.12 Item QS12/37.5 Name of Committee: Subject: Summary or Issues of Significance National / Local Objectives Addressed: Legislation or Healthcare
More informationAnnual DIPC Infection Prevention Report. And. Annual Programme
Annual DIPC Infection Prevention Report 1 st April 2015 31 st March 2016 And Annual Programme 1 st April 2016 31 st March 2017 Authors: Marie Thompson Director of Nursing and Quality, DIPC Dr Ruth Palmer,
More informationClostridium difficile policy
Clostridium difficile policy Document level: Trustwide (TW) Code: IC5 Issue number: 4 Lead executive Director of Infection, Prevention and Control Author and contact number Infection Prevention and Control
More informationAcute Hospital Carbapenemase Producing Enterobacteriales (CPE) Outbreak Control Checklist, Version 1.0 March 2018
Acute Hospital Carbapenemase Producing Enterobacteriales (CPE) Outbreak Control Checklist, Version 1.0 March 2018 CPE Expert Group POLICY DOCUMENT These guidelines are aimed at all Health professionals
More informationConnolly Hospital Infection Prevention and Control Quality Improvement Plan 14 th March 2013
Connolly Hospital Infection Prevention and Control Quality Improvement Plan 14 th March 2013 1. Summary The Infection Prevention and Control Quality Improvement Plan clearly defines the priorities for
More informationINFECTION CONTROL SURVEILLANCE POLICY
INFECTION CONTROL SURVEILLANCE POLICY Version: 3 Ratified by: Date ratified: July 2016 Title of originator/author: Title of responsible committee/group: Senior Managers Operational Group Head of Infection
More informationNLG(13)250. DATE 30 July Trust Board of Directors Part A. Dr Liz Scott, Medical Director REPORT FROM
NLG(13)250 DATE 30 July 2013 REPORT FOR Trust Board of Directors Part A REPORT FROM Dr Liz Scott, Medical Director CONTACT OFFICER Dr Liz Scott, Medical Director SUBJECT Infection Control Committee Minutes
More informationHEALTHCARE ASSOCIATED INFECTION PREVENTION AND CONTROL REPORT JUNE 2016
Appendix--75 Borders NHS Board HEALTHCARE ASSOCIATED INFECTION PREVENTION AND CONTROL REPORT JUNE Aim The purpose of this paper is to update Board members of the current status of Healthcare Associated
More informationReducing the risk of healthcare associated infection
i Reducing the risk of healthcare associated infection Healthcare associated infection Introduction The Royal Marsden takes the safety of our patients very seriously. That means doing everything we can
More informationPublic health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36
Healthcare-associated infections: prevention ention and control Public health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36 NICE 2017. All rights reserved. Subject to Notice of rights
More informationFoundation Trust Board of Directors 25 May Infection Prevention and Control and Pressure Ulcer Prevention Activity 2016/17
Foundation Trust Board of Directors 25 May 2017 Infection Prevention and Control and Pressure Ulcer Prevention Activity 2016/17 M Situation This report provides an overview of the NHFT Infection Prevention
More informationMRSA: National developments, Progress, Challenges and Targets
MRSA: National developments, Progress, Challenges and Targets Professor Brian Duerden Inspector of Microbiology and Infection Control, Department of Health, London The MRSA challenge - 2007 Bacteraemia
More informationInfection Prevention and Control
Infection Prevention and Control Resources for General Practice Call us on: 01423 557340 1 Here to help Wherever you are, we are here to help. Providing Infection Prevention and Control (IPC) award winning
More informationReducing the risk of healthcare associated infection
i Reducing the risk of healthcare associated infection Healthcare associated infection Introduction The Royal Marsden takes the safety of our patients very seriously. That means doing everything we can
More informationAnnounced Inspection Report
Announced Inspection Report Udston Hospital NHS Lanarkshire 20 21 September 2017 www.healthcareimprovementscotland.org The Healthcare Environment Inspectorate was established in April 2009 and is part
More informationReport by Liz McClurg, Infection Control Manager on behalf of Heidi May, Board Nurse Director & Executive Lead, Infection Prevention & Control
INFECTION PREVENTION & CONTROL ANNUAL WORK PLAN (2013 2014) Highland NHS Board 4 June 2013 Item 5.5(c) Report by Liz McClurg, Infection Control Manager on behalf of Heidi May, Board Nurse Director & Executive
More informationProgress Report on C.Diff Action Plan
NHS GREATER GLASGOW AND CLYDE NHS Board Meeting 16 December 2008 Paper No. 08/55 Board Medical Director Progress Report on C.Diff Action Plan Recommendation The NHS Board is asked to receive this further
More informationPolicy for the Control and Management of patients Colonised or Infected with Vancomycin resistant enterococci (VRE)
Policy for the Control and Management of patients Colonised or Infected with Vancomycin resistant enterococci (VRE) Author: Responsible Lead Executive Director: Endorsing Body: Governance or Assurance
More informationCQC ENF , ENF , ENF
This Action Plan is responding to the following requirement notice and enforcement action, as detailed in the CQC inspection report of 13 th February. It is also in response to the accompanying warning
More informationCombating Healthcare Associated Infections in the NHS. Inspector of Microbiology and Infection Control, Department of Health, London
Combating Healthcare Associated Infections in the NHS Professor Brian Duerden Inspector of Microbiology and Infection Control, Department of Health, London 2007 -The challenge of HCAI MRSA bacteraemia
More informationEveryone Involved in providing healthcare should adhere to the principals of infection control.
Infection Control Introduction The prevention and control of infection is an integral part of the role of all health care personnel. Healthcare Associated Infections (HCAIs) affect an estimated one in
More informationTRUST POLICY AND PROCEDURE FOR THE MANAGEMENT AND CONTROL OF DIARRHOEA AND VOMITING (NOROVIRUS) INFECTIONS
TRUST POLICY AND PROCEDURE FOR THE MANAGEMENT AND CONTROL OF DIARRHOEA AND VOMITING (NOROVIRUS) INFECTIONS Reference Number POL-IC/1079/2011 Old ref no. CL-RM/2014/066 Version 1.2.0 Status Final Author:
More informationInfection Prevention and Control Annual Report 2015/16
Infection Prevention and Control Annual Report 2015/16 Amanda Hemsley, Senior Nurse Advisor for Infection Prevention and Control Report Period: April 2015 March 2016 Report Date: June 2016 Infection Prevention
More informationREPORT SUMMARY SHEET
Quality care for you, with you REPORT SUMMARY SHEET Meeting: Date: Title: Lead Director: Corporate Objective: Purpose: High level context: Trust Board 27 th October 2016 Infection Prevention and Control
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Agenda item A5(iii) PROVIDING CLINICAL ASSURANCE: CLINICAL ASSURANCE TOOLKIT (CAT), NURSE STAFFING, FRIENDS & FAMILY TEST (FFT) A SUMMARY REPORT EXECUTIVE
More informationBoard of Directors Infection Prevention and Control Report. Dr Claire Thomas, DIPC
Board of Directors 25 November Report to: Title: Author: Sponsoring Director Purpose: Decision Sought: Board of Directors Infection Prevention and Control Report Dr Claire Thomas, DIPC Donna Green 6 monthly
More informationThe prevention and control of infections North Cumbria University Hospitals NHS Trust
The prevention and control of infections North Cumbria University Hospitals NHS Trust Region: North West Provider s code: RNL Type of organisation: Acute trust Type of inspection: Enhanced Sites we visited:
More informationDirector of Infection Prevention and Control
Director of Infection Prevention and Control 2016-17 2 Contents Page 1. Executive Summary 4 2. Infection prevention and control arrangements 5 3. Healthcare Associated Infection Performance 6 3.1. Mandatory
More informationHealthcare associated infections across the health and social care community
Healthcare associated infections across the health and social care community Professor Brian Duerden CBE Inspector of Microbiology and Infection Control, Department of Health, London Infection is different..it
More informationInfection Prevention & Control Annual Report 2016/2017
Infection Prevention & Control Annual Report 2016/2017 Board of Directors Approval date: Infection Prevention & Control Committee Submission date: 04/01/18 14/12/17 Position at 31 st March 2017 WTE = whole
More informationCleaning of the Environment: Standard Operating Procedure
Facilities and Estates Cleaning of the Environment: Standard Operating Procedure Document Control Summary Status: New Version: v1.0 Date: September 2015 Author/Title: Author/Title: Author/Title: Owner/Title:
More informationReport of the announced monitoring assessment at Connolly Hospital, Blanchardstown, Dublin
Report of the announced monitoring assessment at Connolly Hospital, Blanchardstown, Dublin Monitoring Programme for the National Standards for the Prevention and Control of Healthcare Associated Infections
More informationInfection Prevention and Control Policy
Infection Prevention and Control Policy Version: 2 V Ratified By: Quality Sub Committee R Date Ratified: vember 2016 D Date Policy Comes Into Effect: vember 2016 D Author: Karen Taylor A Responsible Director:
More informationIsolation Care of Patients in Isolation due to Infection or Disease
Infection Prevention and Control Assurance - Standard Operating Procedure 6 (IPC SOP 6) Isolation Care of Patients in Isolation due to Infection or Disease Why we have a procedure? The spread of infection
More informationClostridium difficile Infection (CDI) in children (3-16 years ) Transmission Based Precautions
Page 1 of 9 Standard Operating procedure (SOP) Objective To provide HCWs with details of the care required to prevent cross-infection in children s with Clostridium difficile Infection (CDI). This SOP
More informationINFECTION PREVENTION AND CONTROL ANNUAL REPORT 2010/2011
INFECTION PREVENTION AND CONTROL ANNUAL REPORT 2010/2011 INFECTION PREVENTION AND CONTROL COMMITTEE 1 Contents Page 1. Executive Summary 3 2. Pennine Care Infection Prevention & Control Strategy 4-5 3.
More informationWATER COOLERS & ICEMAKERS
Wirral University Teaching Hospital NHS Foundation Trust Policy Reference: 073 WATER COOLERS & ICEMAKERS Version: 6 Name and Designation of Policy Author(s) Ratified By (Committee / Group) Andrea Ledgerton
More informationInfection Prevention and Control Assurance
Infection Prevention and Control Assurance Who Should Read This Policy Target Audience All Clinical Staff Version 1.0 November 2015 Infection Prevention and Control Assurance Policy Ref. Contents Page
More informationManagement and Control of Incident/ Outbreak of Infection
Please Note: This policy is currently under review and is still fit for purpose. Management and Control of Incident/ Outbreak of Infection This policy supersedes: PAT/IC 20 v.5 - Hospital Major Infection
More informationInfection Prevention and Control Outbreak Policy
Infection Prevention and Control Outbreak Policy IPCT Outbreak Policy V3, Lead Nurse IPC, November 2016 Page 1 Policy Title: Outbreak Policy Executive Summary: This policy details the actions to be followed
More informationClostridium difficile GDH positive (Glutamate Dehydrogenase) toxin negative
Patient information Clostridium difficile GDH positive (Glutamate Dehydrogenase) toxin negative i Important information for all patients. Golden Jubilee National Hospital Agamemnon Street Clydebank, G81
More informationHand Hygiene Policy V2.4
Document reference: POL 040 Document Type: Policy Version: V2.4 Purpose: Responsible Directorate: Executive Sponsor: Document Author: Approved by: Hand Hygiene Policy V2.4 This policy aims to ensure that
More informationInfection Prevention and Control Operational Policy
Infection Prevention and Control Operational Policy Author(s) Vickie Longstaff (Infection Control Nurse Consultant) Version 7 (Updated from January 2011 version) Version Date February 2012 Implementation/approval
More informationInvestigation into the two outbreaks of Clostridium difficile at Stoke Mandeville Hospital between October 2003 and June 2005
Monday 24 July - for immediate release Investigation into the two outbreaks of Clostridium difficile at Stoke Mandeville Hospital between October 2003 and June 2005 The Healthcare Commission s report into
More informationAnnual Report Infection Prevention and Control. RDaSH. Helen Dabbs Deputy Chief Executive/Director of Nursing & Partnerships
RDaSH Infection Prevention and Control Annual Report Helen Dabbs Deputy Chief Executive/Director of Nursing & Partnerships Dr Deborah Wildgoose Deputy Director of Nursing and Standards Rachel Millard Head
More informationHOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST. Annual Report. April March 2013
HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST Director of Infection Prevention & Control (DIPC) & Infection Prevention & Control Team (IPCT) Annual Report April 2012 - March 2013 Author: Dr Alleyna
More informationNorthumbria Healthcare NHS Foundation Trust. Infection Control Information for Patients and Visitors. Issued by The Infection Control Team
Northumbria Healthcare NHS Foundation Trust Infection Control Information for Patients and Visitors Issued by The Infection Control Team Introduction The purpose of this leaflet is to help you understand
More information